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(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) 



(19) World Intellectual Property Organization 

International Bureau 




(43) International Publication Date (10) International Publication Number 

27 December 2001 (27.12.2001) PCT WO 01/97908 A2 



(51) International Patent Classification 7 : A61N 1/378, 1/36 

(21) International Application Number: PCT/US0 1/1 8926 

(22) International Filing Date: 13 June 2001 (13.06.2001) 

(25) Filing Language: English 

(26) Publication Language: English 



(30) Priority Data: 

09/596,402 



16 June 2000 (16.06.2000) US 



(71) Applicant: MEDTRONIC, INC. [US/US]; 710 
Medtronic Parkway Northeast, Minneapolis, MN 55432 
(US). 

(72) Inventors: JIMENEZ, Oscar; 1231 Medina Avenue, 
Coral Gables, FL 33134 (US). ECHARRI, Guillermo; 

3031 Southwest 11th Street, Miami, FL 33135 (US). 
KAST, John, E.; 10815 140th Street North, Hugo, MN 
55038 (US). RIEKELS, James, E.; 8616 Hopewood 
Lane North, New Hope, MN 55427 (US). SCHOMMER, 
Mark, E.; 9135 Kingsview Lane North, Maple Grove, 
MN 55369 (US). 



(74) Agents: WALDKOETTER, Eric, R. et al.; Medtronic, 
Inc., 710 Medtronic Parkway Northeast, Minneapolis, MN 
55432 (US). 

(81) Designated States (national): AE, AL, AM, AT, AU, AZ, 

BA, BB, BG, BR, BY, CA, CH, CN, CR, CU, CZ, DE, DK, 
DM, EE, ES, I I, GB, GD, GE, GH, GM, HR, HU, ID, IL, 
IN, IS, JP, KE, KG, KP, KR, KZ, LC, LK, LR, LS, LT, LU, 
LV, MA, MD, MG, MK, MN, MW, MX, NO, NZ, PL, PT, 
RO, RU, SD, SE, SG, SI, SK, SL, TJ, TM, TR, TT, TZ, UA, 
UG, UZ, VN, YU, ZA, ZW. 

(84) Designated States (regional): ARIPO patent (GH, GM, 
KE, LS, MW, MZ, SD, SL, SZ, TZ, UG, ZW), Eurasian 
patent (AM, AZ, BY, KG, KZ, MD, RU, TJ, TM), European 
patent (AT, BE, CH, CY, DE, DK, ES, FI, FR, GB, GR, IE, 
IT, LU, MC, NL, PT, SE, TR), OAPI patent (BF, BJ, CF, 
CG, CI, CM, GA, GN, GW, ML, MR, NE, SN, TD, TG). 

Published: 

without international search report and to be republished 
upon receipt of that report 

For two-letter codes and other abbreviations, refer to the "Guid- 
ance Notes on Codes and Abbreviations" appearing at the begin- 
ning of each regular issue of the PCT Gazette. 



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00 

O (54) Title: AN IMPLANTABLE MEDICAL DEVICE WITH AREGARDING COIL MAGNETIC SHIELD 
ON 

(57) Abstract: A rechargeable implantable medical device with a magnetic shield placed on the distal side of a secondary recharging 
' coil to improve recharging efficiency is disclosed. The rechargeable implantable medical device can be a wide variety of medical 
devices such as neuro stimulators, drug delivery pumps, pacemakers, defibrillators, diagnostic recorders, and cochlear implants. 
The implantable medical device has a secondary recharging coil carried over a magnetic shield and coupled to electronics and a 
rechargeable power source carried inside the housing. The electronics are configured to perform a medical therapy. Additionally a 
method for enhancing electromagnetic coupling during recharging of an implantable medical device is disclosed, and a method for 
)^ reducing temperature rise during recharging of an implantable medical device is disclosed. 



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1 

AN IMPLANTABLE MEDICAL DEVICE WITH A RECHARGING COIL 

MAGNETIC SHIELD 

BACKGROUND OF THE INVENTION 

This disclosure relates to an implantable medical device and more specifically a 
rechargeable implantable medical device that produces a medical therapy. 

The medical device industry produces a wide variety of electronic and mechanical 
devices for treating patient medical conditions. Depending upon medical condition, 
medical devices can be surgically implanted or connected externally to the patient 
receiving treatment. Clinicians use medical devices alone or in combination with drug 
therapies and surgery to treat patient medical conditions. For some medical conditions, 
medical devices provide the best, and sometimes the only, therapy to restore an individual 
to a more healthful condition and a fuller life. Examples of implantable medical devices 
include neuro stimulators, drug delivery pumps, pacemakers, defibrillators, diagnostic 
recorders, and cochlear implants. Some implantable medical devices provide therapies 
with significant power demands. To reduce the size of the power source and to extend the 
life of the power source, some of these implantable device can be recharged while 
implanted with a transcutaneous recharge signal produced by a primary coil. 

Implantable medical devices configured for recharging are typically configured 
with either the recharging coil internal to the medical device housing, external to the 
housing, or remotely located away from the housing. However the medical device 
recharging coil is configured, it is desirable to improve recharging efficiency for benefits 
such as decreased recharging time and decreased medical device temperature rise while 
recharging. 

For the foregoing reasons there is a need for a rechargeable implantable medical 
device with improved recharging efficiency. 
SUMMARY OF THE INVENTION 

Improved recharging efficiency for a rechargeable implantable medical device is 
accomplished with a magnetic shield placed on the secondary recharging coil distal side. 
The secondary recharging coil is coupled to electronics and a rechargeable power source 
carried inside the housing. The electronics are configured to perform a medical therapy. 



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2 

In one embodiment, an external secondary recharging coil is carried on the housing 
exterior, and the magnetic shield is placed between the recharging coil distal side and the 
housing proximal side. In another embodiment, a remote secondary recharging coil is 
placed away from the housing, and the magnetic shield is placed on the distal side of the 
secondary recharging coil. In another embodiment, secondary recharging coil is internal, 
and the magnetic shield is placed on the distal side of the secondary recharging coil 
between the secondary recharging coil and the electronics. 
BRIEF DESCRIPTION OF THE DRAWINGS 

FIG. 1 shows an environment of a rechargeable implantable medical device; 

FIG. 2 shows a rechargeable implantable medical device neuro stimulator 
embodiment; 

FIG. 3 shows a neuro stimulator electronics block diagram embodiment; 

FIG. 4a shows a rechargeable implantable medical device with external secondary 

recharging coil block diagram embodiment; 
FIG. 4b shows rechargeable implantable medical device with remote external 

secondary recharging coil block diagram embodiment; 
FIG. 4c shows rechargeable implantable medical device with internal secondary 

recharging coil block diagram embodiment; 
FIG. 5 shows an exploded view of a neuro stimulator embodiment; 
FIG. 6 shows an exploded view of a magnetic shield embodiment; 
FIG. 7 shows a side view of a neuro stimulator embodiment; 
FIG. 8a shows a neuro stimulator with remote secondary recharging coil 
embodiment; 

FIG. 8b shows an exploded view of the remote secondary recharging coil 
embodiment; 

FIG. 9a shows a simulation test configuration with a magnetic shield under a 

secondary recharging coil; 
FIG. 9b shows a simulation test configuration with a magnetic covering the 

medical device housing; 
FIG. 10a shows simulation results without a magnetic shield of power transfer 

signal flux lines; 



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FIG. 10b shows simulation results with a magnetic shield under a secondary 

recharging coil of power transfer signal flux lines; 
FIG. 10c shows simulation results with a magnetic shield covering the medical 

device housing of power transfer signal flux lines; 
FIG. 1 1 shows a flowchart of a method for enhancing electromagnetic coupling of 

an implantable medical device with recharge coil embodiment; and, 
FIG. 12 shows a flowchart of a method for reducing temperature rise of an 

implantable medical device with recharging coil embodiment. 

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS 

FIG. 1 shows the general environment of one rechargeable implantable medical 
device 20 embodiment. An implantable neuro stimulator 22 is shown in FIG. 1, but other 
embodiments such as drug delivery pumps, pacemakers, defibrillators, diagnostic 
recorders, cochlear implants, and the like are also applicable. Implantable medical devices 
20 are often implanted subcutaneously approximately one centimeter below the surface of 
the skin with an electrical lead 24 or catheter extending to one or more therapy sites. The 
rechargeable implantable medical device 20 is recharged with a recharging device 28 such 
as a patient charger or programmer that also has a charging capability. 

Recharging an implanted medical device 20 generally begins with placing a 
recharging head 30 containing a primary recharging coil 34 against the patient's skin near 
the proximal side of the medical device 20. Some rechargers 28 have an antenna locator 
that indicates when the recharge head 30 is aligned closely enough with the implanted 
medical device 20 for adequate inductive charge coupling. The recharge power transfer 
signal is typically a frequency that will penetrate transcutaneous to the location of the 
implanted medical device 20 such as a frequency in the range from 5.0 KHz to 10.0 KHz. 
The power transfer signal is converted by the implantable medical device 20 into regulated 
DC power that is used to charge a rechargeable power source 34. Telemetry can also be 
conducted between the recharger 28 and the implanted medical device 20 during 
recharging. Telemetry can be used to aid in aligning the recharger 28 with the implanted 
medical device 20, and telemetry can be used to manage the recharging process. 
Telemetry is typically conducted at a frequency in the range from 150 KHz to 200 KHz 



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using a medical device telemetry protocol. For telemetry, the recharger 28 and implanted 
medical device 20 typically have a separate telemetry coil. Although, the recharging coil 
can be multiplexed to also serve as a telemetry coil. 

FIG. 2 shows a rechargeable neuro stimulator 22 with a lead extension 36 and a 
lead 24 having electrical contacts 38 embodiment. FIG. 3 shows a neuro stimulator 
electronics 40 block diagram embodiment. The neuro stimulator 22 generates a 
programmable electrical stimulation signal. The neuro stimulator electronics 40 comprises 
a processor 44 with an oscillator 46, a calendar clock 48, memory 50, and system reset 52, 
a telemetry module 54, a recharge module 56, a power source 58, a power management 
module 60, a therapy module 62, and a therapy measurement module 64. All components 
of the neuro stimulator 22 are contained within or carried on the housing 66. 

FIGS. 4a-4c show an implantable medical device 20 with recharging coil block 
diagrams. The implantable medical device 20 with external recharging coil magnetic 
shield comprises a housing 66, electronics 40, a rechargeable power source 58, a 
secondary recharging coil 68, and a magnetic shield 70. The housing 66 has an interior 
cavity 72, an exterior surface 74, a proximal face 76, a therapy connection 78, and a 
recharge feedthrough 80. The therapy connection 78 can be any type of therapy 
connection 78 such as a stimulation feedthrough, a drug infusion port, or a physiological 
sensor. There can also be more than one therapy connection 78 and a combination of 
different types of therapy connections 78. The housing 66 is hermetically sealed and 
manufactured from a biocompatible material such as titanium, epoxy, ceramic, and the 
like. The housing 66 contains electronics 40. 

The electronics 40 are carried in the housing interior cavity 72 and configured to 
perform a medical therapy. The electronics 40 are electrically connected to both a therapy 
module therapy connection 78 and the recharge feedthrough 80. The rechargeable power 
source 58 is carried in the housing interior cavity 72 and coupled to the electronics 40. 
The rechargeable power source 58 can be a physical power source such as a spring, an 
electrical power source such as a capacitor, or a chemical power source such as a battery. 
The battery can be a hermetically sealed rechargeable battery such as a lithium ion (Li+) 
battery and the like. The electronics 40 are coupled to the secondary recharging coil 68. 



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The secondary recharging coil 68 is coupled to the electronics 40 and can also be 
coupled to the rechargeable power source 58 in addition to the electronics 40. In various 
embodiments the secondary recharging coil 68 can be located on the housing proximal 
face 76, inside the housing 66, and remotely away from the housing 66. The secondary 
recharging coil 68 has a proximal side implanted toward a patient's skin and a distal side 
implanted toward a patient's internal organs. The secondary recharging coil 68 is 
manufactured from a material with electromagnetic properties such as copper wire, copper 
magnet wire, copper litz woven wire, gold alloy or the like. The secondary recharging coil 
68 can be manufactured from a wide variety of sizes such as wire diameters in the range 
from about 0.016 cm (34 A^VG, American Wire Gauge) to about 0.040 cm (26 A^VG), or 
any other suitable diameter. The secondary recharging coil 68 is coupled to the recharging 
feedthroughs 80 with an electrical connection 86. The electrical connection 86 is protected 
with a hermitic seal to prevent the electrical connection 86 from being exposed to 
biological tissue or fluids. The hermetic seal is a biocompatible material and can take may 
fonns including potting material, polymer encapsulation, coil cover with polymer seal, or 
the like. 

The embodiment in FIG. 4a has a secondary recharging coil 68 carried on the 
proximal face 76 of the implantable medical device 20 with the magnetic shield 70 
positioned between the secondary recharging coil 68 and the proximal face 76. The 
external secondary recharging coil 68 increases recharge efficiency because the secondary 
recharging coil 68 is located just under the surface of the skin to decrease coupling 
distance, and the magnetic shield 70 is position to both attract flux lines to the area of the 
secondary recharging coil 68 and reduce flux lines from coupling into the housing 66 to 
reduce eddy currents in the housing 66. The embodiment in FIG. 4b has an internal 
secondary recharging coil 68 with the magnetic shield 70 positioned between the internal 
secondary recharging coil 68 and the electronics 40. The internal secondary recharging 
coil 68 reduces manufacturing complexity and the magnetic shield 70 improves coupling 
and reduces eddy currents induced into the electronics 70. The embodiment in FIG. 4c has 
a remote secondary recharging coil 68 located away from the housing 66 with the 
magnetic shield 70 positioned on the distal side of the secondary recharging coil 68. The 



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remote secondary recharging coil 68 permits the clinician more positioning options while 
the magnetic shield 70 improves coupling. 

FIG. 5 shows an embodiment of a neuro stimulator 22 with some external 
components exploded away from the housing 66. The external components include a coil 
cover88, a secondary recharging coil 68, and a magnetic shield 70. The magnetic shield 
70 is positioned between the secondary recharging coil 68 and the housing 66. The 
magnetic shield 70 is typically configured to cover at least the footprint of the secondary 
recharging coil 68 on the implantable medical device housing 66, and the magnetic shield 
70 can be configured to cover the proximal face 76 of the medical device 20 or most or all 
of the implantable medical device 20. The magnetic shield 70 is manufactured from a 
material with high magnetic permeability such as amorphous metal film, an amorphous 
metal fibers, a magnetic alloy, ferrite materials, and the like. Amorphous metal has a 
disordered atomic structure and some compositions such as Co-Fe-Si-B have high 
permeability and near zero magnetostriction. Commercially available materials that are 
suitable for a magnetic shield include Honeywell Metglas amorphous foil 2714A and 
Unitika Sency™ amorphous metal fiber. The magnetic shield 70 is configured with a 
thickness suitable for the application such as in the range from about 0.0254 centimeters 
(0.001 inch) to 0.0101 centimeters (0.004 inch) thick. The magnetic shield 70 can be 
configured with eddy cuts 90 to reduce perpendicular magnetic flux induced eddy current 
flow in the magnetic shield itself. Eddy cuts 90 can be configured with dimensions and 
placement suitable for the application such as with a width in the range from 0.0025 
centimeters (0.001 inch) to 0.0508 centimeters (0.02 inch) in width configured in a radial 
pattern on the magnetic shield 70. The eddy cuts 90 can be formed with a variety of 
manufacturing processes such as laser cutting, die cutting, and chemical etching. The 
magnetic shield 70 can also be shaped to meet geometry requirements of the implantable 
medical device 20 such as with a central opening 92 to facilitate placement of the 
secondary recharge coil 68. 

The magnetic shield 70 can be configured with more than one magnetic shield 70 
positioned between the secondary recharge coil 68 and the implantable medical device 
housing 66 to reduce eddy currents induced by radial magnetic flux. Multiple magnetic 
shields 70 can be used to constrain eddy currents to an individual magnetic shield 70 or for 



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7 

other manufacturing reasons. To aid in constraining eddy currents to an individual 
magnetic shield 70, an insulator 94 can be placed between the magnetic shields 70. The 
insulator is a material with good electrical insulating properties such as plastic, mylar, 
polyimide, insulating tape, insulating adhesive, and the like. 

FIG. 6 shows a multiple magnetic shield 70 embodiment. An insulating sheet 94 
separates the magnetic shields 70. Multiple magnetic shields 70 improve magnetic 
shielding while reducing the formation of eddy currents in the magnetic shield 70 itself. 
The insulating sheet 94 is a material with good insulating qualities suitable for placement 
between magnetic shields 70 such as plastic, mylar, polyimide, insulating tape, insulating 
adhesive, and the like. FIG. 7 shows a side view of a neuro stimulator 22 embodiment. 
FIG. 8a shows a neuro stimulator 22 with remote secondary recharging coil 68 
embodiment, and FIG. 8b shows an exploded view of the remote secondary recharging 
coil 68 embodiment. 

FIG. 9a shows a simulation test configuration with a magnetic shield 70 under a 
secondary recharging coil 68, and FIG. 9b shows a simulation test configuration with a 
magnetic shield 70 covering the medical device housing 66. FIGS. 9a and 9b are not to 
scale. Both simulation test configurations were done using two dimensional finite element 
analysis magnetic modeling software such as that available from MagSoft located in Troy, 
New York. Also both simulation test configurations used the following parameters. The 
primary recharging coil 34 has 250 turns of 0.05 1 cm diameter (24 AWG) magnet wire 
with an outer diameter of 4.572 cm (1 .8 inches) and an inner diameter of 2.019 cm (0.795 
inches) with a Toroidal magnetic core in the center having an effective relative 
permeability jn R of 10. The secondary recharging coil 68 has 200 turns of 0.025 cm 
diameter (30 AWG) magnet wire forming a coil with an outer diameter of 3.302 cm (1 .30 
inches) and an inner diameter of 0.635 cm (0.25 inch). The medical device housing 66 is 
titanium having a thickness of 0.030 cm (0.012 inch). The separation between the primary 
recharging coil 34 and the secondary recharging coil 68 is 1.0 cm (0.394 inch). The 
recharge power transfer signal is 150 VAC peak-to-peak at 8.0 KHz. The magnetic shield 
70 in FIG. 9a is composed of alternating 0.002 cm (.001 inch) thick layers of Metglass and 
air gap with the secondary recharging coil 68 located 0.013 cm (0.005 inch) above the 
magnetic shield 70. The magnetic shield 70 in FIG. 9b has the magnetic shield 70 



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described for FIG. 9a and in addition a similar magnetic shield 70 covering the medical 
device 20 sides and bottom. 

FIG. 10a shows simulation results without a magnetic shield 70 of power transfer 
signal flux lines 96 interacting with a secondary recharging coil 68 and a medical device 
housing 66. Power loss in the medical device housing 66 is 0.430 Watts and the coupling 
efficiency is 12.3 %. For this simulation, the magnetic shield 70 shown in FIG. 9a was 
removed. 

FIG. 10b shows simulation results with a magnetic shield 70 placed under the 
secondary recharging coil 68 and power transfer signal flux lines 96 interacting with the 
secondary recharging coil 68 and a medical device housing 66. Power loss in the medical 
device housing 66 is 0.143 Watts and the coupling efficiency is 25.4 %. The simulation 
results show improved recharging efficiency through enhanced electromagnetic coupling 
between the secondary recharging coil 68 and a primary recharging coil 34. The improved 
electromagnetic coupling between the primary recharging coil 34 can be in the range from 
about 10% to 28% coupling efficiency at about one centimeter. Electromagnetic coupling 

efficiency is calculated with the following equation: Coupling Efficiency = ^ out x 100% 

Pin 

where Pout is measured at the secondary recharging coil 68 and Pin is measured at the 
primary recharging coil 34. The recharging efficiency is also improved through reduced 
eddy currents in the housing 66. Reducing eddy currents during recharging also reduces 
medical device 22 temperature rise during recharging for improved safety. 

FIG. 10c shows simulation results with a magnetic shield 70 covering the medical 
device housing 66. Power loss in the medical device housing 66 is 0.38 m Watts and the 
coupling efficiency is 27.5 %. The simulation results show improved recharging 
efficiency over the simulation in FIG. 10b. The recharging efficiency is also improved 
through reduced eddy currents in the housing 66. Reducing eddy currents during 
recharging also reduces medical device 20 temperature rise during recharging for 
improved safety. 

FIG. 1 1 shows a method for enhancing electromagnetic coupling of an implantable 
medical device external recharging coil embodiment. Positioning a secondary recharging 
coil 98 in operational relationship to an implantable medical device 20. Positioning a 



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magnetic shield 100 on the distal side of the secondary recharging coil 68. Attracting 
electromagnetic flux lines 102 from a primary recharging coil 34 to the secondary 
recharging coil 68 with the magnetic shield 70. Improving electromagnetic coupling 
between a primary recharging coil 34 and a secondary recharging coil 68. The improved 
electromagnetic coupling 104 between the primary recharging coil 34 and the secondary 
recharging coil 68 is in the range from about 10% to 28% coupling efficiency at about one 
centimeter. Improving efficiency 106 of energy transfer from the primary recharging coil 
34 to the secondary recharging coil 68. The efficiency of energy transfer is improved 
because less energy is lost to eddy currents in the housing 66. 

FIG. 12 shows a method for method for enhancing electromagnetic coupling of an 
implantable medical device external recharge coil embodiment. Positioning a secondary 
recharging coil 98 in operational relationship to an implantable medical device 20. 
Positioning a magnetic shield 100 on the distal side of the secondary recharging coil 68. 
Reducing electromagnetic flux lines 108 that couple with the housing 66, or electronics 40 
carried within the housing 66, or both the housing 66 and electronics 40. Reducing eddy 
currents 1 10 in the housing 66 caused by electromagnetic flux lines that couple with the 
housing 66, or eddy currents in the electronics 40 carried within the housing 66, or both 
the housing 66 and electronics 40. Reducing temperature rise 1 12 during recharging 
because of reduced eddy currents in the housing 66. The implantable medical device 20 
temperature rise during recharging is typically controlled to less than about two degrees 
Centigrade above surround tissue temperature. 

Thus, embodiments of an implantable medical device 20 with a recharging coil 
magnetic shield 70 are disclosed to improve recharging efficiency and many other 
advantages apparent from the claims. One skilled in the art will appreciate that the present 
invention can be practiced with embodiments other than those disclosed. The disclosed 
embodiments are presented for purposes of illustration and not limitation, and the present 
invention is limited only by the claims that follow. 



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What is claimed is: 

1 . An implantable medical device with efficient recharging coil, comprising: 

a housing having an interior cavity, a proximal face, and an electrical feedthrough; 
electronics carried in the housing interior cavity and configured to perform a 
medical therapy; 

a rechargeable power source carried in the housing interior cavity and coupled to 
the electronics; 

a secondary recharging coil coupled to the electronics and rechargeable power 
source, the secondary recharging coil having a distal side; and, 

a magnetic shield placed on a distal side of the receiving recharging coil to 
improve recharging efficiency. 

2. The implantable medical device as in claim 1 wherein the magnetic shield 
improves recharging efficiency by improving electromagnetic coupling between 
the secondary recharging coil and a primary recharging coil. 

3. The implantable medical device as in claim 2 wherein recharging efficiency is 
improved by increasing flux lines that couple with the receiving recharging coil 
from the primary recharging coil. 

4. The implantable medical device as in claim 2 wherein the improved 
electromagnetic coupling is greater than 10 percent coupling efficiency at about 
one centimeter. 

5. The implantable medical device as in claim 1 wherein recharging efficiency is 
improved by decreasing flux lines that couple with the housing. 

6. The implantable medical device as in claim 5 wherein recharging efficiency is 
improved through reduced eddy currents in the housing. 

7. The implantable medical device as in claim 6 wherein reduced eddy currents 
during recharging also reduces medical device temperature rise during recharging. 

8. The implantable medical device as in claim 7 wherein the temperature rise of the 
implantable medical device during recharging is less than two degrees Celsius. 

9. The implantable medical device as in claim 9 wherein the magnetic shield is 
located between the secondary recharging coil and the electronics. 



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10. The implantable medical device as in claim 1 wherein the magnetic shield is a 
material with high magnetic permeability. 

1 1 . The implantable medical device as in claim 10 wherein the magnetic shield is 
selected from the group consisting of: amorphous metal film, amorphous metal 
wire, and magnetic alloy. 

12. The implantable medical device as in claim 1 wherein the magnetic shield includes 
eddy cuts to reduce eddy current flow through the magnetic shield. 

13. The implantable medical device as in claim 1 wherein the magnetic shield has a 
central opening. 

14. The implantable medical device as in claim 1, further comprising a first insulator 
placed between a first magnetic shield and a second magnetic shield. 

15. The implantable medical device as in claim 14, further comprising a second 
insulator placed between a second magnetic shield and a third magnetic shield. 

16. The implantable medical device as in claim 14 wherein the first insulator and a 
second insulator are selected from the group consisting of: plastic, mylar, and tape. 

17. The implantable medical device as in claim 1 wherein the secondary recharging 
coil is carried on the proximal face of the housing and the magnetic shield is 
placed between the receiving recharging coil and the proximal face of the housing. 

1 8. The implantable medical device as in claim 1 wherein the secondary recharging 
coil is an external secondary recharging coil located away from the housing. 

19. The implantable medical device as in claim 1 wherein the receiving recharging coil 
is located in the housing interior cavity. 

20. The implantable medical device as in claim 1 wherein the housing is an electric 
conductor. 

21. The implantable medical device as in claim 15 wherein the housing is selected 
from the group consisting of: titanium, ceramic, and epoxy. 

22. The implantable medical device as in claim 1 wherein the medical device is 
selected from the group consisting of: neuro stimulators, pacemakers, 
defibrillators, drug delivery pumps, diagnostic recorders, and cochlear implants. 



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23. An implantable medical device with efficient recharging coil, comprising: 

a housing having an interior cavity, a proximal face, and at least one electrical 
feedthrough; 

electronics carried in the housing interior cavity and configured to perform a 
medical therapy; 

a rechargeable power source carried in the housing interior cavity and coupled to 
the electronics; 

a receiving recharging coil coupled to the electronics and rechargeable power 
source; and, 

a means for improving recharging efficiency placed on a distal side of the 
secondary recharging coil. 

24. The implantable medical device as in claim 23 wherein recharging efficiency is 
improved by increasing flux lines that couple with the receiving recharging coil. 

25. The implantable medical device as in claim 23 wherein recharging efficiency is 
improved by decreasing flux lines that couple with the housing. 

26. An efficient recharging coil for an implantable medical device, comprising: 

a secondary recharging coil having at least two leads coupleable to an implantable 

medical device; and, 
a magnetic shield configured to be positioned on a distal side of the secondary 

recharging coil. 

27. The implantable medical device as in claim 1 wherein the magnetic shield is a 
material with high magnetic permeability. 

28. The efficient recharging coil as in claim 26, wherein the secondary recharging coil 
is positioned on an external surface of a housing and the magnetic shield is 
positioned between the secondary recharging coil and the external surface of the 
housing. 

29. The efficient recharging coil as in claim 26, -further comprising an insulator placed 
between a first magnetic shield and a second magnetic shield. 

30. A method of enhancing electromagnetic coupling of an implantable medical device 
recharging coil, comprising: 



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positioning a secondary recharging coil in operational relationship to an 

implantable medical device; 
positioning a magnetic shield on a distal side of the secondary recharging coil; 
attracting electromagnetic flux lines from a primary recharging coil to the 

secondary recharging coil with the magnetic shield; and, 
improving electromagnetic coupling between a primary recharging coil and a 

secondary recharging coil; and, 
improving efficiency of energy transfer from the primary recharging coil to the 

secondary recharging coil. 

3 1 . The implantable medical device as in claim 1 wherein recharging efficiency is 
improved through enhanced electromagnetic coupling between the secondary 
recharging coil and a primary recharging coil. 

32. The implantable medical device as in claim 2 wherein the enhanced 
electromagnetic coupling is greater than 10 percent coupling efficiency at about 
one centimeter. 

33. The implantable medical device as in claim 1 wherein the magnetic shield is a 
material with high magnetic permeability. 

34. The implantable medical device as in claim 1 1 wherein the magnetic shield is 
selected from the group consisting of: amorphous metal film, amorphous metal 
wire, and magnetic alloy. 

35. The implantable medical device as in claim 1 wherein the secondary recharging 
coil is carried on the proximal face of the housing and the magnetic shield is placed 
between the receiving recharging coil and the proximal face of the housing. 

36. The implantable medical device as in claim 1 wherein the secondary recharging 
coil is an external secondary recharging coil located away from the housing. 

37. The implantable medical device as in claim 1 wherein the medical device is 
selected from the group consisting of: neuro stimulators, pacemakers, 
defibrillators, drug delivery pumps, diagnostic recorders, and cochlear implants. 

38. A method of reducing temperature rise during recharging of an implantable 
medical device external recharging coil, comprising: 



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positioning a secondary recharging coil in operational relationship to an 

implantable medical device; 
positioning a magnetic shield on a distal side of the secondary recharging coil; 
reducing electromagnetic flux lines that couple with the housing; 
reducing eddy currents in the housing caused by electromagnetic flux lines that 

couple with the housing; and, 
reducing temperature rise during recharging because of reduced eddy currents in 

the housing. 

39. The implantable medical device as in claim 1 wherein recharging efficiency is 
improved by decreasing flux lines that couple with the housing. 

40. The implantable medical device as in claim 5 wherein recharging efficiency is 
improved through reduced eddy currents in the housing. 

41. The implantable medical device as in claim 6 wherein reduced eddy currents 
during recharging also reduces medical device temperature rise during recharging. 

42. The implantable medical device as in claim 7 wherein the temperature rise of the 
implantable medical device during recharging is less than two degrees Celsius. 

43. The implantable medical device as in claim 1 wherein the magnetic shield is a 
material with high magnetic permeability. 

44. The implantable medical device as in claim 1 1 wherein the magnetic shield is 
selected from the group consisting of: amorphous metal film, amorphous metal 
wire, and magnetic alloy. 

45. The implantable medical device as in claim 1 wherein the medical device is 
selected from the group consisting of: neuro stimulators, pacemakers, 
defibrillators, drug delivery pumps, diagnostic recorders, and cochlear implants. 



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PCT/US01/18926 



1/14 




FIG. I 



SUBSTITUTE SHEET (RULE 26) 



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PCT/US01/18926 




SUBSTITUTE SHEET (RULE 26) 



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3/tt 




Ll. 



O 
CO 

















o 












i 



















SUBSTITUTE SHEET (RULE 26) 



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4/U 
20 




80. 



86 



COIL 



A 
) 

82 



68 



7 



4 

84 



t 

70 



1 



ELECTRONICS 



f ^40 



RECHARGEABLE 
POWER SOURCE 



58 



t 



66 



FIG. 4a 



SUBSTITUTE SHEET (RULE 26) 



WO 01/97908 



PCT/US01/18926 



5/M 



THERAPY 



7 f 

62 



COIL 



ELECTRONICS 



7 



68 



7 

70 



I 



40 



RECHARGEABLE 
POWER SOURCE 



58 



66 



FIG. 4b 



SUBSTITUTE SHEET (RULE 26) 



WO 01/97908 



PCT/US01/18926 



6/U 



78 



86 



THERAPY 



7 



62 



1 



ELECTRONICS 




FIG. 4c 



SUBSTITUTE SHEET (RULE 26) 



WO 01/97908 PCT/US01/18926 




FIG. 5 




FIG. 6 

SUBSTITUTE SHEET (RULE 26) 



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PCT/US01/18926 



8/14 




FIG. 7 



SUBSTITUTE SHEET (RULE 26) 



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SUBSTITUTE SHEET (RULE 26) 



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10/ 14 



32 




FIG. 9a 



32 



68 




FIG. 9b 

SUBSTITUTE SHEET (RULE 26) 



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11/14 




FIG. 10a 




FIG. 10b 



SUBSTITUTE SHEET (RULE 26) 



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12/14 



PCT/US01/18926 




SUBSTITUTE SHEET (RULE 26) 



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PCT/US01/18926 



13/1A 



POSmONING 
RECHARGE COIL 



98 



POSmONING 
MAGNETIC SHEILD 



100 



ATTRACTING 
FLUX LINES 



102 



INPROVING 
COUPLING 



104 



IMPROVING 
EFFICIENCY 



106 



FIG. I I 



SUBSTITUTE SHEET (RULE 26) 



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PCT/US01/18926 



14/14 



POSITIONING 
RECHARGE COIL 



98 



POSITIONING 
MAGNETIC SHQLD 



100 



REDUCING 
FLUX LINES COUPLING 



108 



REDUCING 
EDDY CURRENTS 



110 



REDUCING 
TEMPERATURE RISE 



112 



FIG. 12 



SUBSTITUTE SHEET (RULE 26)